| NPI | 1346315595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L FRIDAY Executive Director 704-864-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8300372) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 5909113) |
| 251B00000X Case Management (Licence: NC 8300372) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NC 3408063) | |
| 101YM0800X Counselor, Mental Health (Licence: NC 6005964) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: NC 3408063) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-08-04 |